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        • KCI등재

          간호진단-간호결과-간호중재 연계를 이용한 내외과계 간호단위 간호정보시스템 구축 및 적용

          고은(Ko, Eun),소향숙(So, Hyangsook) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.4

          Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units. Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program. Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of ’acute pain’ were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome ’pain control’ were pain management, patient controlled analgesia assistance and medication management. Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

        • SCOPUSKCI등재
        • KCI등재

          요양병원 간호사의 치매 환자 통증 사정과 통증 중재 수행에 영향을 미치는 요인

          전미선,송지은,박정민,김원경 한국성인간호학회 2020 성인간호학회지 Vol.32 No.3

          Purpose: This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses. Methods: In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires. Results: The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models. Conclusion: The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

        • KCI등재

          성인의 수면의 질에 따른 심박변이도, 피로, 우울 및 불안과의 관계

          김주아(Kim, Ju Ah),강승완(Kang, Seung Wan) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.1

          Purpose: The purpose of this study was to investigate the relationship among sleep quality, heart rate variability (HRV), fatigue, depression, and anxiety reported by Korean adults. Methods: A cross-sectional study of 208 adults aged 20~60 years was conducted using a short-term HRV analysis and self-reported questionnaires of Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, Beck Depression Inventory, and State Trait Anxiety Inventory. Results: Subjects with good sleep quality (PSQI score≤5) had higher HRV total power (t=2.03, p=.043) and high-frequency (t=2.04, p=.043) with lower fatigue (t=-4.08, p<.001), depressive mood (t=-3.66, p<.001), and trait anxiety (t=-3.84, p<.001) than subjects with poor sleep quality. Poor sleep quality was negatively correlated with HRV total power (r=-.17, p=.016), high-frequency (r=-.14, p=.049), and positively fatigue (r=.39, p<.001), depression (r=.44, p<.001), state anxiety (r=.23, p=.001) and trait anxiety (r=.34, p<.001). Conclusion: The results indicated that sleep quality is correlated with HRV which reflects the activities of the autonomic nerve system, fatigue, depression, and anxiety in adults.

        • KCI등재
        • KCI등재

          성인 환자를 위한 근거기반 냉 요법 간호실무지침 개발

          신용순(Shin, Yong Soon),김현정(Kim, Hyun Jung),안지원(An, Ji Won),이윤영(Lee, Yoon Young) 한국성인간호학회 2018 성인간호학회지 Vol.30 No.3

          Purpose: The aim of this study was to develop evidence-based nursing practice guidelines for cold application in adult care. Methods: The study procedure was based on the Scottish Intercollegiate Guidelines Network and Korean Hospital Nurses Association"s guideline development methods. The evidence review procedures included targeted searches from databases including the Cochrane Library, PubMed, CINAHL, Embase, KoreaMed, KERIS and NDSL. The initial search yielded 6,426 articles published from 2006 to 2016. Based on the screening process, 147 articles were selected and systematically reviewed. From evidence summaries of 20 clinical questions, recommendations were formulated and graded. Draft recommendation were evaluated through external review. Results: The guidelines consisted of 10 domains and 27 recommendations. The content validity index of the recommendations was above .80. Major recommendations include 1) applying external cooling to reduce acute pain, edema, and hemorrhage, 2) selecting cooling instruments based on the purpose, patient’s condition, and preference, 3) preparing and maintaining cooling instruments at an adequate temperature, and 4) intermittent cold application for appropriate durations with sufficient recovery time. Conclusion: These guidelines can be utilized in both clinical and community settings to help narrow the gaps between nursing practices.

        • KCI등재

          향기흡입법이 수술실 간호사의 스트레스에 미치는 효과

          성순남(Sung Soon Nam),은영(Eun Young) 한국성인간호학회 2007 성인간호학회지 Vol.19 No.1

          Purpose: To identify the effects of the aromatherapy on stress of nurses working in operating room. Methods: The study design was nonequivalent control-group pretest-posttest design. The subjects were 45 nurses working in the operating room. Experimental group were 24 nurses in G Hospital and control group were 21 nurses in U Hospital. All of the subjects were measured of the subjective stress, stress responses and the job stress. For aromatherapy, lavender, bergamot, and ylang were mixed in the ratio of 2 : 2 : 1. Results: 1) "The subjective stress of experimental group is lower than that of the control group" was supported (t=-2.70, p=.01). 2) "The stress responses of experimental group is lower than that of the control group" was supported (t=-2.49, p=.01). 3) "The job stress of experimental group is lower than that of the control group" was supported (t=-7.97, p=.00). Conclusion: This study suggested that such aroma inhalation method could be effective on stress of nurses working in operating room.

        • KCI등재

          가정호스피스 대상자를 위한 간호중재 표준서 개발

          용진선(Yong Jin-Sun),김남초(Kim Nam-Cho),강진형(Kang Jin-Hyeong) 한국성인간호학회 2006 성인간호학회지 Vol.18 No.1

          Purpose: The purpose of this study is to develop a set of standardized nursing interventions and their associated nursing activities according to the NIC system to guide home care nurses in performing nursing intervention activities for hospice patients. Method: This study was a descriptive survey that first identified frequently used & specialized hospice nursing interventions based on the NIC systems and next validated a set of standardized nursing interventions and their associated nursing activities. One hundred chart records of home hospice patients were used to identify nursing interventions. Also, thirty-nine hospice specialized nurses participated twice using the Delphi technique to test the content validity of the standards. Results: Among the nursing interventions, 19 important nursing interventions and 418 associated nursing activities were selected after two rounds of Delphi technique by hospice specialized nurses. The mean content validity of the final nursing activities was 0.82. In this paper, only the 3 most frequently used nursing interventions and 3 hospice specialized nursing interventions with their associated nursing activities are presented since space is limited. Conclusion: The nursing intervention standards will be a basis for home hospice nurses to improve quality of hospice care for hospice patients.

        • KCI등재

          웹기반 인공호흡기 실무 멀티미디어 컨텐츠 학습이 간호학생의 지식과 임상수행능력에 미치는 효과

          양진주(Yang Jin Ju) 한국성인간호학회 2006 성인간호학회지 Vol.18 No.2

          Purpose: The purpose of this study was to identify the effect of web-based learning for ventilator practice on the knowledge and clinical competence of nursing students. Method: The research design was a non-equivalent control group pre-post non-synchronized design. Twenty five nursing students were collected for the experimental group from August 23 to November 26, 2004 and nineteen nursing students for the control group from August 22 to November 25, 2005. All subjects experienced clinical practices in an intensive care unit of a hospital in G city for 2 weeks. The web-based learning for ventilator practice was conducted in the experimental group only. The data were analyzed with t-test and ANCOVA using SPSS 10.1 program. Result: The 2 week web-based clinical practice learning significantly improved the knowledge scores for the experimental group, however, there was no significant differences in the score for the clinical competence between experimental and control group. Conclusion: These findings suggest that a self-directed web-based learning for ventilator practice of nursing students can facilitate the knowledge of care for a ventilated patient. Therefore, faculties should develop a variety of web-based multimedia content programs for clinical instruction based on clinical situation.

        • KCI등재

          한국 성인의 천식 관련 요인: 2016년도 국민건강영양조사의 2차 자료분석

          윤미정(Yun, Mi-Jeong) 한국성인간호학회 2019 성인간호학회지 Vol.31 No.3

          Purpose: The purpose of this study was to identify the prevalence of asthma and related factors in Korean adults using national health statistics. Methods: This study used statistical data from the 2016 Korea National Health and Nutrition Examination Survey. The subjects were 5,841 adults aged 19 years or older. The collected data included questions about general, health and disease-related characteristics. Data were analyzed by complex sample test and complex sample multiple logistic regression analysis with the SPSS/WIN 24.0 program. Results: The prevalence of asthma was 2.7%. Factors related to asthma were age (Odds Ratio [OR]=2.21, 95% Confidence Interval [CI]=1.32~3.70), depression (OR=2.62, 95% CI=1.41~4.86), allergic rhinitis (OR=3.51, 95% CI=2.26~5.45), and atopic dermatitis (OR=5.82, 95% CI=3.21~10.53). Conclusion: The results of this study showed that asthma-related factors in Korean adults were age, depression, allergic rhinitis and atopic dermatitis. Therefore, considering these factors, it may be helpful to educate about depression - related nursing intervention for asthma patients and to prevention of allergic antigen exposure for asthma patients. Purpose: The purpose of this study was to identify the prevalence of asthma and related factors in Korean adults using national health statistics. Methods: This study used statistical data from the 2016 Korea National Health and Nutrition Examination Survey. The subjects were 5,841 adults aged 19 years or older. The collected data included questions about general, health and disease-related characteristics. Data were analyzed by complex sample test and complex sample multiple logistic regression analysis with the SPSS/WIN 24.0 program. Results: The prevalence of asthma was 2.7%. Factors related to asthma were age (Odds Ratio [OR]=2.21, 95% Confidence Interval [CI]=1.32~3.70), depression (OR=2.62, 95% CI=1.41~4.86), allergic rhinitis (OR=3.51, 95% CI=2.26~5.45), and atopic dermatitis (OR=5.82, 95% CI=3.21~10.53). Conclusion: The results of this study showed that asthma-related factors in Korean adults were age, depression, allergic rhinitis and atopic dermatitis. Therefore, considering these factors, it may be helpful to educate about depression - related nursing intervention for asthma patients and to prevention of allergic antigen exposure for asthma patients.

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